Members Resources

Quality Care Achievements and CMS Model of Care Update

As part of our ongoing commitment to provide you with the highest quality of care, we are pleased to share an update on our performance under the Centers for Medicare & Medicaid Services (CMS) Model of Care, which focuses on coordinated, high-quality healthcare to improve your health outcomes and overall experience.

Our Performance Highlights:

• Improved Health Outcomes: Key quality metrics show progress in areas such as medication safety, diabetes management, and preventive care.
• Effective Care Coordination: Efforts have been made to strengthen our care coordination to support follow-up visits after inpatient hospitalization, as well as regular care team meetings to facilitate coordinated approaches for transitions between healthcare settings.
• Enhanced Member Experience: Member satisfaction ratings have shown notable improvement, with an overwhelming majority of members reporting a positive healthcare experience since enrolling in NHC Advantage. This outcome demonstrates our ongoing commitment to delivering personalized and compassionate care.

What This Means for You:

• Access to Quality Care: You can expect high standards of care and support from our network of healthcare providers.
• Coordinated Care: Our processes and systems ensure that you receive the right care at the right time and place.
• Ongoing Improvements: We are committed to continuously enhancing our services based on your feedback.

We are proud of our achievements and remain dedicated to serving you with excellence. Thank you for being a valued member of our health plan.

*Medicare has neither reviewed nor endorsed this information.